True, the West is moving towards price controls. Some governments have also ruled that the pharmacist is free to offer the patient a cheaper generic version (if one exists) of the patented medicine prescribed by the doctor.
But Western markets, and mature markets like Japan, are fundamentally different from India. Most people there are covered by medical insurance.
So, patients don't mind paying for expensive patented medicine.
As a result, the net profit margins of pharmaceutical companies there are as high as 20 to 25 per cent.
Here, in India, it was realised many decades ago that you cannot have inexpensive medicines with product patents.
So it was ruled that the country would recognise only process patents.
In other words, an Indian pharmaceutical company could produce any drug in the world, so long as it used a different process. Even this rule was very loosely observed.
Though India moved to product patents in 2005, the effects of the earlier regime are there for all to see.
There are over 20,000 registered pharmaceutical companies in the country. Every medicine has over 100 variants out in the market. Cartels are hard to form.
As a result, a five or six per cent share of the market has always been good enough for a company to become the leader. This has also ensured that prices remain low.
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There are over 20,000 registered pharmaceutical companies in the country.
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